Most Relevant Information
Provider Data
| NPI Number: | 1003576216 |
| Provider Name: | JONAS KIM PHARM D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 40260 |
Most Important Dates
| Enumeration Date: | 12/29/2021 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
2143 FOOTHILL BLVD
LA CANADA
CA
910111904
Practice Location Phone/Fax
| Phone: | 8182483643 |
| Fax: |
Provider Mailing Location
1613 CHELSEA RD # 845
SAN MARINO
CA
911082419
Provider Mailing Phone/Fax
| Phone: | 6267551236 |
| Fax: |